title: Elephantiasis nostras verrucosa on the buttocks and sacrum of two immobile men.
abstract: Though typically involving the lower extremities, elephantiasis nostras verrucosa (ENV) can occur in any area affected by lymphedema. Here we report two cases of ENV: one is a biopsy-proven case and the other is a clinically diagnosed case. Both occurred on the buttocks and sacrum of immobile, morbidly obese men who were persistently in the supine or seated position. Whereas classic ENV is not uncommon, this striking presentation on these unusual areas is quite rare.
authors.affiliation: Department of Dermatology, Henry Ford Health System, Detroit, Michigan, USA.
authors.forename: Hedy G
authors.initials: HG
authors.lastname: Setyadi
authors.forename: Megan Reif
authors.initials: MR
authors.lastname: Iacco
authors.forename: Tor A
authors.initials: TA
authors.lastname: Shwayder
authors.forename: Adrian
authors.initials: A
authors.lastname: Ormsby
mesh_terms: D000328:Adult; D002081:Buttocks; D004604:Elephantiasis / Q000150:complications* / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications*; D012871:Skin Diseases / Q000150:complications / Q000473:pathology*